Crustless Pizza

Annie Lampella @ Ketofocus

By Annie Lampella, Pharm.D.

Published February 20, 2022 • Updated February 18, 2026

This post may contain affiliate links. See my disclosure policy.

I built this around what I actually want from pizza: all the toppings, all the cheese, no crust. Ground sausage becomes the base, everything piles on, and it comes together in one skillet in under 15 minutes.

I started making this because I wanted pizza night without spending 30 minutes on dough. What I ended up with is something my family requests more than the version with crust. It’s become one of our Friday night staples.

If you do want a proper crust, I have a great fat head pizza dough that holds up to heavy toppings. My pizza casserole puts the crust on top (genius for leftover night). And for something even faster, my 1 minute pizza bowl uses the same flavors with almost no cooking.

a thick slice of crustless skillet pizza on a white plate topped with parsley and red pepper flakes

Ground Italian sausage gets browned and crumbled in a cast iron skillet until those little pieces almost form their own crispy base. Toppings pile on, cheese melts down into everything, and you broil for 2-3 minutes until bubbly. The whole thing comes together in about 15 minutes.

The sausage layer is what makes this work. When you brown it long enough (I give it a full 5-6 minutes over medium-high heat), those crumbled pieces get crispy on the outside and hold everything together like a crust would. I can lift slices right out of my 8-inch skillet once it cools for a few minutes. You can eat it with a fork, but picking it up is more satisfying. One reader, Tracy, told me she makes this weekly now and doesn’t even miss real crust.

This is keto pizza at its most practical. Each slice comes in around 0.5 g net carbs if you skip the marinara and bell pepper. Even loaded up with sauce and veggies, you’re well under 5 g per serving. I’ve been making some version of this since I went keto in 2012, and it’s the one I keep coming back to when I want pizza without any fuss. The whole thing is a true one pot meal, so cleanup takes about two minutes.

The topping combinations are wide open. I go heavy on pepperoni because the edges curl up and get crispy under the broiler, and that little crunch is everything. Mushrooms, black olives, and sliced bell pepper are my go-to for a loaded version. For another recipe with Italian sausage front and center, try my stuffed Italian sausage. And for a completely different base, my chicken crust pizza uses ground chicken instead.

I watch the broiler the whole time because the cheese goes from perfectly bubbly to burned in about 30 seconds. Two to three minutes on high is all it takes. I’ve also made this in the air fryer at 400 degrees for about 5 minutes when my skillet fits. Let it sit for a couple minutes before cutting. The cheese firms up just enough to hold together.

How to make crustless pizza

I brown the sausage first, stir in seasoning and a little marinara, cook any vegetables that need softening, then pile on toppings and cheese and broil until bubbly.

ingredients for crustless pizza pictured and labeled as italian sausage, italian seasoning, garlic powder, salt, marinara, bell pepper, pepperoni, mozzarella cheese and cheddar cheese

Key ingredients

  • Ground sausage or pork – I use Italian sausage most of the time because the seasoning is already built in. Ground pork works if you add your own Italian seasoning. Ground beef and turkey are fine too.
  • Seasonings and marinara sauce – A couple tablespoons of marinara give the meat that pizza-sauce flavor. I use my homemade keto pizza sauce when I have it on hand. Skip the sauce entirely for the lowest carb count.
  • Pizza toppings – Go heavy. Pepperoni, salami, fresh basil, bell pepper, onion, mushroom, black olive. I load mine up and the sausage base holds it all.
  • Shredded cheese – I mix mozzarella and mild cheddar (4 oz each). Provolone and parmesan also work. For a creamier result, stir in a couple tablespoons of cream cheese before adding the shredded layer on top.
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Recipe
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Crustless Pizza

5 (6) Prep 3m Cook 12m Total 15m 4 servings

Ingredients

  • 1 lb ground sausage or pork
  • 1 teaspoon Italian seasoning, optional
  • 1 teaspoon garlic powder, optional
  • 1/2 teaspoon salt
  • 2 tablespoons pizza or marinara sauce, optional
  • 2 oz green bell pepper, optional
  • 4 oz mozzarella cheese, shredded
  • 4 oz cheddar cheese, shredded
  • 14 slices pepperoni

Step by Step Instructions

Step by Step Instructions

1
Cook sausage

In a cast-iron or oven proof skillet, brown and crumble the ground sausage or pork until cooked through. (About 5-6 minutes)

ground sausage cooked in a black cast iron skillet
Tip Can use ground beef, chicken or turkey instead.
Ingredients for this step
  • Italian sausage or ground pork
2
Add seasoning and sauce

Once the ground sausage is cooked through, stir in Italian seasonings, garlic powder, salt and marinara sauce.

stirring cooked sausage with a white spatula
Tip For zero carb pizza option, omit Italian seasoning, garlic powder and marinara sauce.
Ingredients for this step
  • Italian seasonings
  • Garlic powder
  • Salt
  • Marinara sauce
3
Cook vegetables

Push the ground sausage off to the sides of the skillet and add bell pepper or any vegetable that needs to be cooked into the center. Cook until softened, then stir into the rest of the ground meat. Remove from heat.

green bell pepper cooked in with browned sausage in a skillet on a burner
Tip Any vegetables that need to be cooked like onions, mushrooms, bell pepper, cauliflower, should be added here in order to get cooked before going under the broiler. Omit all vegetables for zero carb pizza.
Ingredients for this step
  • Bell pepper
4
Add remaining toppings and cheese

Sprinkle most of the shredded cheese blend on top of the ground sausage layer evening. Top with pepperoni slices or other toppings. Then sprinkle remaining cheese layer on top.

a cast iron skillet with uncooked pizza in it pepperoni topped with shredded cheese
Ingredients for this step
  • Mozzarella cheese (shredded)
  • Cheddar cheese (shredded)
  • Pepperoni
5
Broil

Place skillet in the oven under the broiler on high for 2-3 minutes or until the cheese is melted and bubbly.

a cooked pepperoni pizza sits in a black pan
Tip You can also make this in the air fryer. Bake at 400 degrees for about 5 minutes.
Nutrition Per Serving 1/4 of the pizza
518 Calories
40.1g Fat
35.6g Protein
2.8g Net Carbs
3.3g Total Carbs
4 Servings
Nutrition disclaimer

The nutrition information provided is an estimate and is for informational purposes only. I am a Doctor of Pharmacy (Pharm.D.); however, this content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or other qualified health provider before making any lifestyle changes or beginning a new nutrition program.

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Crustless Pizza

Frequently Asked Questions

What is crustless pizza?

I make it by cooking ground sausage in a cast iron skillet until it forms a firm, crumbly base. Then I add pizza sauce, toppings, and cheese, and broil the whole thing until the cheese is bubbly. You can pick up slices once it cools, or eat it with a fork. It's pizza without the dough.

What size skillet should I use?

I use an 8-inch cast iron skillet for this recipe. It keeps the pizza thick enough that slices hold together when you pick them up. A 10-inch works too, but the layer will be thinner and you might not get that satisfying lift. If you're doubling for a bigger crowd, a 12-inch skillet or oven-safe baking dish is the way to go.

Can I use ground beef instead of sausage?

I've tested it with ground beef, ground turkey, and ground chicken, and they all work. Ground beef is the closest in texture to sausage. Just add your own Italian seasoning and a little extra garlic since you're losing the built-in flavor that Italian sausage has. One of my readers, Teresa, made it with ground beef and homemade marinara from her garden herbs and said it became a weekly staple for her family.

How do I reheat leftovers?

I reheat mine under the broiler on high for about a minute. The cheese melts again and the sausage base stays crispy, which is exactly what you want. The microwave works if you're in a rush, but everything goes softer. An air fryer at 350 for 2-3 minutes is my second favorite method. The edges get even crispier than the first time around.

Can I make this ahead and bake it later?

I do this all the time. Cook the sausage and any vegetables, add your toppings and cheese, then cover the skillet and refrigerate. It keeps for 4-5 days before baking. When you're ready, broil on high for 3-4 minutes straight from the fridge. I've prepped two at once on Sunday and baked them throughout the week.

Is this keto friendly?

This is one of the most keto-friendly dinners I make. With the full recipe (sausage, cheese, pepperoni, and marinara), each slice is under 5 g net carbs. If you skip the sauce and bell pepper, it drops to around 0.5 g carbs per slice. I've been eating this way since 2012 and this is one of the recipes that's stayed in my regular rotation the longest.

What vegetables work best?

I've tried just about everything in this. Bell pepper, mushrooms, and black olives are my standard rotation. Onions work but dice them small so they cook through in the skillet. Zucchini and spinach are good in summer, but squeeze out the moisture first or your pizza gets watery. I pat sliced zucchini with a paper towel and wilt spinach separately before adding it.

Can I freeze this?

I freeze it regularly. Transfer to a freezer-safe dish, cover tightly with foil, and it keeps for up to 3 months. I cook it straight from frozen (covered with foil at 400 degrees for about 20-25 minutes) and it reheats better than I expected. The sausage base holds its texture well after freezing. If you're batch cooking, I make two at once and portion into individual containers.

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a small castiron skillet with a greasy, melted cheese and pepperoni pizza in it

The zero carb version

I make the carnivore version when I want to keep my keto macros tight. Just leave out these four things and each slice (1/4 of the skillet) drops to around 0.5 g net carbs:

  • Italian seasoning
  • Garlic powder
  • Marinara sauce
  • Bell pepper

A couple more things I’ve figured out for keeping it low carb:

  • Use ground pork instead of Italian sausage. Italian sausage often has added sugars in the seasoning mix that bump up the carb count. Plain ground pork is just pork.
  • Shred your own cheese from a block. Certain cheddar cheeses and Galbani mozzarella are zero carbs when you buy the block and shred it yourself. Pre-shredded bags have starch coatings that add a carb or two per serving.
a slice of crustless pizza on a white dinner plate with a castiron skillet casserole sits in the background

My tips for the best result

  • Brown the sausage until it’s almost crunchy. I mean really brown it. Cook it until those crumbled pieces start to crisp on the bottom of the skillet. That browned layer acts as your pizza base and gives the whole thing so much more flavor than just-cooked meat.
  • Any vegetables that need to cook (onions, mushrooms, bell pepper) go in right after the sausage is done. I push the meat to the sides and cook the veggies in the center for 2-3 minutes until they soften.
  • Watch the broiler. I set a timer for 2 minutes and check. The cheese goes from perfectly bubbly to scorched fast, and every broiler runs a little different.

How to store and reheat

I keep leftovers covered in the fridge for up to 5 days. The sausage base actually holds its texture better than regular leftover pizza. Reheat under the broiler on high for about a minute to get the cheese melty again without making everything go soft.

This freezes well too. I transfer to a freezer-safe dish, cover tightly with foil, and freeze for up to 3 months. Bake from frozen at 400 degrees, covered, for about 20-25 minutes until bubbly. I’ve tested both thawing overnight and cooking straight from frozen, and cooking from frozen actually works better. The edges stay crispier.

About the Author
Annie Lampella, Pharm.D.

Annie Lampella, Pharm.D.

Annie is a Doctor of Pharmacy, mom, and the recipe creator behind KetoFocus. With a B.S. in Genetics from UC Davis, she has over 14 years of experience developing family-friendly keto recipes based on the science of human metabolism.

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  1. D
    Donna Mar 1, 2026

    First time making this and the broiler part blew my mind. Two minutes and the mozzarella was already bubbling. Does turkey sausage work or does the pork fat matter for the base?

    1. Annie Lampella
      Annie Lampella Mar 1, 2026

      Turkey works, I've tested it. The pork fat is what gives the base that crispier bottom edge, so turkey comes out a little softer, but it still holds together. Just season it more aggressively since turkey doesn't bring the same built-in flavor pork sausage does.

  2. D
    Diane Feb 26, 2026

    Used hot Italian sausage instead of plain ground and dropped the added Italian seasoning since it's already built into the meat. The base came out tighter, and the heat underneath the cheese is actually well-calibrated without being aggressive. One technique note for anyone using cast-iron: give the skillet a full minute off the burner before you broil. The sausage layer firms up and slices clean instead of pulling apart when you serve it.

    1. Annie Lampella
      Annie Lampella Feb 26, 2026

      Good call skipping the Italian seasoning. Hot Italian already has it covered. That resting step before the broiler is one I need to add to the recipe notes.

  3. W
    Wendy Feb 21, 2026

    Making this Sunday for weeknight meals. Does it reheat well, or does the cheese get weird after a day in the fridge?

    1. Annie Lampella
      Annie Lampella Feb 21, 2026

      I do mine under the broiler on high for about a minute. Cheese melts right back, sausage base stays crispy. Microwave works in a pinch but everything softens.

  4. L
    Luis Feb 15, 2026

    Quick dinner win, doubled the pepperoni

    1. Annie Lampella
      Annie Lampella Feb 15, 2026

      Love that. I do the same thing when I'm really hungry, ha.

  5. S
    Sue Mar 3, 2023

    Why DON'T the pictures LOAD from your website.
    I Can't get any of your pictures from any recipes to load
    WHY ?

    Thanks

    1. Annie Lampella
      Annie Lampella Mar 5, 2023

      Probably your ad blocker. Incognito mode usually loads them fine.

  6. T
    tracy Feb 6, 2023

    i started making this awhile back and now i make it once a week now on the night we want pizza, its easy and i don't even miss the crust on pizza.

  7. S
    Sandra Aug 7, 2022

    This is a wonderful dish.♥️♥️♥️♥️♥️ I have made this dish twice. my family loved it.♥️♥️

    1. Annie Lampella
      Annie Lampella Aug 11, 2022

      Twice already, that's the sign. The mozzarella and cheddar together is what gives you that cheese pull.

  8. T
    Teresa Bennett Jun 28, 2022

    We did this recipe and absolutely loved it. We did ground beef as we didn't have any ground sausage or pork. Made our own marina sauce using our own herbs. This was so delicious I can see it being a weekly menu item. Thank you so much.

    1. Annie Lampella
      Annie Lampella Jul 1, 2022

      Ground beef is the closest to sausage out of all the swaps I've tried. Texture holds up the same way. And yeah, homemade sauce with fresh herbs is going to be better than anything from a jar.

  9. N
    Nicolette Jun 11, 2022

    Thanks for the recipe, it was so good.

  10. C
    Cheryl Mar 5, 2022

    What size skillet do you recommend for this recipe?

    1. Annie Lampella
      Annie Lampella Mar 6, 2022

      You can use any size. Mine was an 8 inch skillet

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